Exercise-Induced Acute Kidney Injury in a Police Officer with Hereditary Renal Hypouricemia
Hereditary renal hypouricemia is characterized by hypouricemia with hyper-uric acid clearance due to a defect in renal tubular transport. Patients with hereditary renal hypouricemia have a higher risk of exercise-induced acute kidney injury (EAKI) and reduced kidney function. Although the best preve...
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doaj-b341c261eb924084859adf53bdcc75b52020-11-25T01:32:32ZengKarger PublishersCase Reports in Nephrology and Dialysis2296-97052019-07-01929210110.1159/000501877501877Exercise-Induced Acute Kidney Injury in a Police Officer with Hereditary Renal HypouricemiaYoshio ShimizuKeiichi WakabayashiAyako TotsukaYoko HayashiShusaku NittaKazuaki HaraMaiko AkiraYasuhiko TominoYusuke SuzukiHereditary renal hypouricemia is characterized by hypouricemia with hyper-uric acid clearance due to a defect in renal tubular transport. Patients with hereditary renal hypouricemia have a higher risk of exercise-induced acute kidney injury (EAKI) and reduced kidney function. Although the best preventive measure is avoiding exercise, there are many kinds of jobs that require occupational exercise. A 27-year-old male police officer suffered from stage 3 AKI after performing a 20-m multistage shuttle run test. His mother had previously been diagnosed as having renal hypouricemia at another facility. The patient had reported having hypouricemia during a health check at a previous police station, but his serum uric acid concentration was within the normal range at our hospital. After treatment, he recovered from EAKI and exhibited low serum uric acid and hyper-uric acid clearance. Since the patient desired to continue his career requiring strenuous exercise, it was difficult to establish a preventive plan against the recurrence of EAKI. Patients with hereditary renal hypouricemia who must undergo strenuous occupational anaerobic exercise are at higher risk of developing EAKI than other workers. The risks of EAKI among patients with hypouricemia should be considered when undergoing physical occupational training.https://www.karger.com/Article/FullText/501877ExerciseAcute kidney injuryHereditary renal hypouricemiaPolice officer |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yoshio Shimizu Keiichi Wakabayashi Ayako Totsuka Yoko Hayashi Shusaku Nitta Kazuaki Hara Maiko Akira Yasuhiko Tomino Yusuke Suzuki |
spellingShingle |
Yoshio Shimizu Keiichi Wakabayashi Ayako Totsuka Yoko Hayashi Shusaku Nitta Kazuaki Hara Maiko Akira Yasuhiko Tomino Yusuke Suzuki Exercise-Induced Acute Kidney Injury in a Police Officer with Hereditary Renal Hypouricemia Case Reports in Nephrology and Dialysis Exercise Acute kidney injury Hereditary renal hypouricemia Police officer |
author_facet |
Yoshio Shimizu Keiichi Wakabayashi Ayako Totsuka Yoko Hayashi Shusaku Nitta Kazuaki Hara Maiko Akira Yasuhiko Tomino Yusuke Suzuki |
author_sort |
Yoshio Shimizu |
title |
Exercise-Induced Acute Kidney Injury in a Police Officer with Hereditary Renal Hypouricemia |
title_short |
Exercise-Induced Acute Kidney Injury in a Police Officer with Hereditary Renal Hypouricemia |
title_full |
Exercise-Induced Acute Kidney Injury in a Police Officer with Hereditary Renal Hypouricemia |
title_fullStr |
Exercise-Induced Acute Kidney Injury in a Police Officer with Hereditary Renal Hypouricemia |
title_full_unstemmed |
Exercise-Induced Acute Kidney Injury in a Police Officer with Hereditary Renal Hypouricemia |
title_sort |
exercise-induced acute kidney injury in a police officer with hereditary renal hypouricemia |
publisher |
Karger Publishers |
series |
Case Reports in Nephrology and Dialysis |
issn |
2296-9705 |
publishDate |
2019-07-01 |
description |
Hereditary renal hypouricemia is characterized by hypouricemia with hyper-uric acid clearance due to a defect in renal tubular transport. Patients with hereditary renal hypouricemia have a higher risk of exercise-induced acute kidney injury (EAKI) and reduced kidney function. Although the best preventive measure is avoiding exercise, there are many kinds of jobs that require occupational exercise. A 27-year-old male police officer suffered from stage 3 AKI after performing a 20-m multistage shuttle run test. His mother had previously been diagnosed as having renal hypouricemia at another facility. The patient had reported having hypouricemia during a health check at a previous police station, but his serum uric acid concentration was within the normal range at our hospital. After treatment, he recovered from EAKI and exhibited low serum uric acid and hyper-uric acid clearance. Since the patient desired to continue his career requiring strenuous exercise, it was difficult to establish a preventive plan against the recurrence of EAKI. Patients with hereditary renal hypouricemia who must undergo strenuous occupational anaerobic exercise are at higher risk of developing EAKI than other workers. The risks of EAKI among patients with hypouricemia should be considered when undergoing physical occupational training. |
topic |
Exercise Acute kidney injury Hereditary renal hypouricemia Police officer |
url |
https://www.karger.com/Article/FullText/501877 |
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